PCDH Coordinator

Delta Dental Plan of Michigan, Inc.; Nashville (TN); Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Short- and long-term disability

401(k) savings plans

Tuition reimbursement

Paid volunteer time

Access to health coach

Job summary

Delta Dental Plan of Michigan, Inc. is seeking a PCDH Coordinator for their Nashville office, offering a hybrid work arrangement. In this role, you'll oversee patient-centered dental home assignments, monitor utilization, and ensure members receive necessary preventive dental care.

Ideal candidates will have a bachelor’s degree and three years of relevant experience, possess strong analytical and communication skills, and be adept with healthcare management software. The position includes comprehensive benefits and opportunities for professional development.

Qualifications

• Bachelor’s degree required; 3 years of experience in patient care coordination or public health.
• Strong communication and organizational skills needed for effective collaboration.
• Experience in healthcare management software preferred.

Responsibilities

• Oversee all aspects of Patient-Centered Dental Home assignment.
• Monitor and analyze reports regarding the Patient Centered Dental Home program.
• Collaborate with project management team on Dental Home workflow updates.
• Ensure members receive preventive services from trusted providers.

Skills

Analytical skills

Communication skills

Organizational skills

Problem-solving skills

Education

Bachelor’s degree in healthcare administration, business administration, public health, dental hygiene, or related field

Tools

Healthcare management software

Spreadsheets

Word processing

Database applications

Job description

Job Title

PCDH Coordinator

Location

DDMI - Nashville, Hybrid Position. Must reside in Metropolitan Davidson County, Tennessee or a county contiguous to Metropolitan Davidson County, Tennessee.

Overview

Oversees all aspects of Patient‑Centered Dental Home assignment, including system process updates, provider requests or concerns related to member assignments or process, member concerns, questions, or updates necessary, fulfilling reporting requirements, and communication to internal and external stakeholders. Ensures members are educated on dental wellness, including preventive care, comprehensive care, and acute care through collaboration with case managers and Managed Care Organization coordinators on overall outreach strategy.

Responsibilities

• Supports key areas of the TennCare and Contractor’s Dental Home Strategy, monitoring utilization and prioritizing increased utilization of high‑value preventative dental services, jointly designing the scope of responsibilities and high‑value activities with TennCare.
• Implements the overall Dental Home Strategy, including supporting both member and provider outreach, coaching, and education.
• Collaborates with project management team on system updates, revisions, or additions to the Dental Home workflow in Roosevelt.
• Maintains and updates the Patient Centered Dental Home sections of the provider manual, as well as references within the member handbook.
• Monitors and analyzes reports regarding the Patient Centered Dental Home program.
• Proactively identifies opportunities and barriers to patient dental utilization.
• Ensures that members and their families receive preventive services from a trusted primary‑care dentist, which helps control oral diseases and reduces the need for restorative services.
• Facilitates communication between members, dental providers, Managed Care Organizations and other healthcare professionals to ensure continuity of care.
• Seeks input from others, listens effectively, and uses diplomacy, tact, and consensus to build relationships and gain trust, respect, and support with internal and external stakeholders.
• Develops, recommends, implements, and enforces policies, procedures, guidelines, and standards of operations for the Dental Home Strategy.
• Assists in periodic compliance efforts and ensures compliance with healthcare regulations and standards.
• Develops ad‑hoc reporting for Dental Home strategy independently, or in collaboration with internal reporting teams, for internal and external use.
• Directs tracking of provider terminations and reassigns members to another Dental Home, as necessary.
• Reassigns members upon request from TennCare, providers, MCOs, or DDA, as well as at member request through automated systematic processes, or manually, as necessary.
• Performs other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.

Minimum Requirements

• Position requires a bachelor’s degree in healthcare administration, business administration, public health, dental hygiene, or a related field and three years of experience in patient care coordination in a healthcare environment or designing or administering a public health program or dental education program. Will accept any suitable combination of education, training, or experience.
• Position requires strong analytical, problem‑solving, communication, and organizational skills; the ability to manage multiple tasks, work collaboratively with various departments, and effectively communicate with patients and healthcare providers.
• Experience with word processing, spreadsheets, database applications, and the use of healthcare management software and tools is preferred.

Benefits

• Medical, dental, and vision coverage.
• Short‑ and long‑term disability, life insurance, 401(k) savings plans, and flexible spending accounts.
• Tuition reimbursement or educational assistance.
• Annual incentive compensation based on annual business goals.
• Eight hours of paid volunteer time each year.
• Access to an on‑staff health coach and personal trainer.
• Other perks.

Equal Employment Opportunity Statement

The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance. Delta Dental of Michigan, Ohio, and Indiana is an Equal Opportunity Employer.